Prior Authorization Automation
Optimize Prior Authorization with ColigoMed
ColigoMed’s Prior Authorization solution revolutionizes the way healthcare organizations manage eligibility checks, patient cost estimation and authorization submissions. Powered by advanced AI agents, ColigoMed automates manual tasks, reduces errors, and keeps both providers and patients informed every step of the way—so care teams can focus on what matters most: delivering exceptional care. ColigoMed automation significantly reduces claim denials and accelerates reimbursement timelines.
Key Capabilities
Automated Eligibility and Benefits Verification
- Instantly verify patient insurance coverage and benefits across hundreds of payers.
- AI agents connect directly with EHRs and payer systems, eliminating phone calls and paperwork.
- Receive real-time notifications on authorization status for both providers and patients
Patient Cost Calculator
- Provide patients with transparent, CPT-level price estimates before care is delivered.
- AI-powered calculators consider plan type, co-pays, deductibles, and network status for precise out-of-pocket cost projections.
- Empower patients to make informed financial decisions and reduce surprise billing
AI-Driven Automated Submission
- Submit prior authorization requests automatically, with all required clinical documentation.
- AI agents ensure payer-specific rules are met, minimizing denials and delays.
- Providers and patients receive status updates and next steps, reducing administrative burden and improving satisfaction
Benefits for Providers
- 88% Time Savings: Dramatically reduce time spent on prior authorizations and transition-of-care tasks
- Fewer Denials: Automated, accurate submissions mean fewer rejected claims and less revenue leakage
- Seamless EHR Integration: No need for new dashboards—ColigoMed fits right into your existing workflow
- Scalable Care: Manage larger patient populations with less administrative overhead
Benefits for Patients
- Faster Approvals: Get timely access to needed care, without delays from paperwork or phone calls
- Transparent Costs: Understand your financial responsibility up front, with clear cost estimates
- Continuous Updates: Receive real-time notifications on authorization status, so you’re never left in the dark
- Simplified Experience: Easily share health records and communicate with your care team, all in one place
Feature | Provider Benefits | Patient Benefits |
Eligibility Verification | Less admin work, fewer denials | Faster access to care |
Patient Cost Calculator | Improved collections, transparency | No surprise bills, informed choices |
Automated Submission | 88% time savings, scalable care | Real-time updates, less waiting |
Why Choose ColigoMed?
01
AI-Enhanced Automation
Reduce manual work and errors
02
Patient-Centered Design
Keep patients informed and empowered
03
Integrates with your existing technology and workflows
Ready to transform your prior authorization process?
Contact ColigoMed today to schedule a personalized demo and see how our AI-powered solution can help your organization save time, reduce costs, and deliver better care for every patient
ColigoMed: Simplifying healthcare for providers and patients—one authorization at a time